Helm C W, Smart G E, Cumming A D, Lambie A T, Gray J A, MacAulay A, Smith I W
Department of Obstetrics and Gynaecology, Royal Infirmary of Edinburgh, Scotland.
Int J Gynaecol Obstet. 1989 Apr;28(4):369-72. doi: 10.1016/0020-7292(89)90611-5.
There have been five confirmed cases of severe Chlamydia psittaci infection during pregnancy, three having been treated in Edinburgh, Scotland. The most recent case is presented and previous experience is reviewed. The illness usually causes thrombocytopenia with disseminated intravascular coagulation, renal failure and hepatic dysfunction during the late second and early third trimester. The outcome for the fetus is usually fatal and the infection only resolves after delivery or abortion. The main hope is for education to prevent infection occurring in susceptible populations.
孕期已确诊5例鹦鹉热衣原体严重感染病例,其中3例在苏格兰爱丁堡接受治疗。本文报告了最新病例并回顾了既往经验。该病通常在妊娠中期晚期和晚期早期导致血小板减少伴弥散性血管内凝血、肾衰竭和肝功能障碍。胎儿的结局通常是致命的,感染仅在分娩或流产后才会消退。主要希望在于开展教育以防止易感人群发生感染。